Developing Meaningful Health Care Quality Metrics: An Example From Colonoscopy and Adenoma Detection
Authors: Douglas Corley
Journal: Annals of Internal Medicine (2022)

EditorialsOctober 2022Developing Meaningful Health Care Quality Metrics: An Example From Colonoscopy and Adenoma DetectionDouglas Corley, MD, MPH, PhDDouglas Corley, MD, MPH, PhDKaiser Permanente, Oakland, CaliforniaSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M22-2646 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Health care quality is important. The World Health Organization defines health care quality as “the degree to which health services for individuals and populations increase the likelihood of desired health outcomes” (1). Thus, care must be both effective and broadly delivered. Quality measures and metrics help clinicians understand how we are doing and what we need to improve (2). However, although the adage “if you measure it, it gets done” is often true, it ignores the question of whether “it” is worth measuring at all.Extensive research addresses health care quality. Frameworks describe quality at the patient, provider, system, and ...References1. World Health Organization. Quality of care. Accessed at www.who.int/health-topics/quality-of-care#tab=tab_1 on 31 August 2022. Google Scholar2. Centers for Medicare & Medicaid Services. Quality measures: how they are developed, used, & maintained. Accessed at https://mmshub.cms.gov/sites/default/files/Guide-Quality-Measures-How-They-Are-Developed-Used-Maintained.pdf on 31 August 2022. Google Scholar3. Agency for Healthcare Research and Quality. Six domains of health care quality. Accessed at www.ahrq.gov/talkingquality/measures/six-domains.html on 31 August 2022. Google Scholar4. NHS England and NHS Improvement. A model for measuring quality care. Accessed at www.england.nhs.uk/wp-content/uploads/2022/02/qsir-measuring-quality-care.pdf on 31 August 2022. Google Scholar5. Donabedian A. The quality of care. How can it be assessed. JAMA. 1988;260:1743-8. [PMID: 3045356] doi:10.1001/jama.260.12.1743 CrossrefMedlineGoogle Scholar6. World Health Organization. Quality of care: a process for making strategic choices in health systems. 2006. Accessed at https://apps.who.int/iris/handle/10665/43470 on 31 August 2022. Google Scholar7. Eckerson WW. How to create and deploy effective metrics. The Data Warehousing Institute; 2009. Accessed at https://mindsight.com.br/wp-content/uploads/2020/08/How-to-Create-and-Deploy-Effective-Metrics-by-Weyne-Eckerson.pdf on 31 August 2022. Google Scholar8. Forrest G. The importance of implementing effective metrics. iSixSigma. Accessed at www.isixsigma.com/implementation/basics/importance-implementing-effective-metrics on 31 August 2022. Google Scholar9. Wisse PHA, Erler NS, de Boer SY, et al. Adenoma detection rate and risk for interval postcolonoscopy colorectal cancer in fecal immunochemical test–based screening. A population-based cohort study. Ann Intern Med. 2022;175:1366-73. doi:10.7326/M22-0301 LinkGoogle Scholar10. Schottinger JE, Jensen CD, Ghai NR, et al. Association of physician adenoma detection rates with postcolonoscopy colorectal cancer. JAMA. 2022;327:2114-2122. [PMID: 35670788] doi:10.1001/jama.2022.6644 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Kaiser Permanente, Oakland, CaliforniaDisclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M22-2646.Corresponding Author: Douglas Corley, MD, MPH, PhD, Kaiser Permanente, 2000 Broadway, Oakland, CA 94612; e-mail, Douglas.[email protected]org.This article was published at Annals.org on 27 September 2022. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoAdenoma Detection Rate and Risk for Interval Postcolonoscopy Colorectal Cancer in Fecal Immunochemical Test–Based Screening Pieter H.A. Wisse , Nicole S. Erler , Sybrand Y. de Boer , Bert den Hartog , Marco Oudkerk Pool , Jochim S. Terhaar sive Droste , Claudia Verveer , Gerrit A. Meijer , Iris Lansdorp-Vogelaar , Ernst J. Kuipers , Evelien Dekker , and Manon C.W. Spaander Metrics October 2022Volume 175, Issue 10Page: 1479-1480KeywordsAdenomasCancer detection and diagnosisCancer preventionCancer screeningColonoscopyHealth care quality ePublished: 27 September 2022 Issue Published: October 2022 Copyright & PermissionsCopyright © 2022 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...